PMID- 12520519 OWN - NLM STAT- MEDLINE DCOM- 20030725 LR - 20220311 IS - 0730-2312 (Print) IS - 0730-2312 (Linking) VI - 88 IP - 2 DP - 2003 Feb 1 TI - Tolerogenic dendritic cells induced by vitamin D receptor ligands enhance regulatory T cells inhibiting allograft rejection and autoimmune diseases. PG - 227-33 AB - Dendritic cells (DCs) not only induce but also modulate T cell activation. 1,25-dihydroxyvitamin D(3) [1,25(OH)(2)D(3)] induces DCs with a tolerogenic phenotype, characterized by decreased expression of CD40, CD80, and CD86 costimulatory molecules, low IL-12 and enhanced IL-10 secretion. We have found that a short treatment with 1,25(OH)(2)D(3) induces tolerance to fully mismatched mouse islet allografts that is stable to challenge with donor-type spleen cells and allows acceptance of donor-type vascularized heart grafts. This effect is enhanced by co-administration of mycophenolate mofetil (MMF), a selective inhibitor of T and B cell proliferation that has also effects similar to 1,25(OH)(2)D(3) on DCs. Graft acceptance is associated with an increased percentage of CD4(+)CD25(+) regulatory cells in the spleen and in the draining lymph node that can protect 100% of syngeneic recipients from islet allograft rejection. CD4(+)CD25(+) cells, able to inhibit the T cell response to a pancreatic autoantigen and to significantly delay disease transfer by pathogenic CD4(+)CD25(-) cells, are also induced by treatment of adult nonobese diabetic (NOD) mice with 1,25-dihydroxy-16,23Z-diene-26,27-hexafluoro-19-nor vitamin D(3) (BXL-698). This treatment arrests progression of insulitis and Th1 cell infiltration, and inhibits diabetes development at non-hypercalcemic doses. The enhancement of CD4(+)CD25(+) regulatory T cells, able to mediate transplantation tolerance and to arrest type 1 diabetes development by a short oral treatment with VDR ligands, suggests possible clinical applications of this approach. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Adorini, Luciano AU - Adorini L AD - BioXell, SpA, 20132 Milano, Italy. luciano.adorini@bioxell.com FAU - Penna, Giuseppe AU - Penna G FAU - Giarratana, Nadia AU - Giarratana N FAU - Uskokovic, Milan AU - Uskokovic M LA - eng PT - Journal Article PT - Review PL - United States TA - J Cell Biochem JT - Journal of cellular biochemistry JID - 8205768 RN - 0 (Ligands) RN - 0 (Receptors, Calcitriol) RN - 1406-16-2 (Vitamin D) RN - 66772-14-3 (1,25-dihydroxyvitamin D) SB - IM MH - Animals MH - Dendritic Cells/*immunology MH - Diabetes Mellitus, Type 1/drug therapy/*immunology/prevention & control MH - Graft Rejection/immunology MH - Humans MH - Immune Tolerance/*immunology MH - Ligands MH - Mice MH - Mice, Inbred NOD MH - Receptors, Calcitriol/immunology/metabolism MH - T-Lymphocytes/*immunology MH - Transplantation, Homologous/immunology MH - Vitamin D/*analogs & derivatives/immunology/*metabolism/therapeutic use RF - 41 EDAT- 2003/01/10 04:00 MHDA- 2003/07/26 05:00 CRDT- 2003/01/10 04:00 PHST- 2003/01/10 04:00 [pubmed] PHST- 2003/07/26 05:00 [medline] PHST- 2003/01/10 04:00 [entrez] AID - 10.1002/jcb.10340 [doi] PST - ppublish SO - J Cell Biochem. 2003 Feb 1;88(2):227-33. doi: 10.1002/jcb.10340.